Individual provider · Type 1 NPI
Darcia Carllette Tudor, MA, CMHS, WCM, JD
Specialist · Bellevue, WA
NPI number
1083853501
Active
Practice location
2018 156th Ave NE
Bellevue, WA 98007-3825
Fax (425) 883-4751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 12175 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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- Raymond Mize Conner, MDSpecialist Bellevue, WA NPI 1073558763
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About NPI 1083853501
Darcia Carllette Tudor, MA, CMHS, WCM, JD's National Provider Identifier is 1083853501, issued on Feb 5, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bellevue, WA. The record was last updated on Feb 5, 2009.